HAND HYGIENE

PRESENTED BY
MS KRIPA SUSAN KURIEN
TUTOR
GOVERNMENT COLLEGE OF NURSING
DAMAN
What is Hand Hygiene?

Hand Hygiene includes cleaning hands with soap

and water or alcohol-based hand rub in order to
remove germs, removing soil, dirt.
 Who should practice Hand Hygiene?

Hand hygiene is important not only for healthcare providers; everyone needs to
be practicing appropriate and effective hand hygiene regardless of work setting
 Why do we need to perform Hand Hygiene?

• Hand hygiene is the most important way to prevent the spread of

germs.
• Protect the patient against harmful germs carried on your hands or
present on his/her own skin
• Protect yourself and the health-care environment from harmful germs
• Prevent the incidence of hospital acquired infection.
THE UNWASHED HAND!
 Indications for Hand Hygiene

When hands are visibly dirty, contaminated, or soiled,

wash with non-antimicrobial or antimicrobial soap
/solution and water.
If hands are not visibly soiled, use an alcohol-based
handrub for routinely decontaminating hands.
WHEN DO YOU PERFORM HAND HYGIENE?
 BEFORE touching a patient
Why?

Before taking temperature,

blood pressure or pulse
BEFORE touching a patient
Why?
To protect the patient against harmful germs carried on your
hands
BEFORE clean/aseptic procedures
Why?
BEFORE clean/aseptic procedures
Why?
To protect the patient against harmful germs, including the
patients own, from entering his/her body
AFTER body fluid exposure risk
Why?
AFTER body fluid exposure risk
Why?
To protect yourself and the health-care environment from
harmful patient germs
AFTER touching a patient
Why?
AFTER touching a patient
Why?
To protect yourself and the health-care environment from
harmful patient germs
AFTER touching patients surroundings
Why?
AFTER touching patients surroundings
Why?
To protect yourself and the health-care environment from
harmful patient germs
TYPES OF HAND WASH..!!!!

A. Social hand wash

B. Clinical hand hygiene
HAND WASHING (40-60 SECS)
HAND RUB ( 20- 30 SECS)
C. Surgical hand washing
 SOCIAL HAND WASHING

• Social (routine) hand washing with soap and warm water

• Remove dirt, dead skin, transient organisms etc
 2. Clinical hand hygiene
• A. using aqueous antimicrobial disinfectant
For Proper hand washing all
that you need
How to handwash( 7 step method..!!!) who
To effectively
reduce the
growth of
germs on
hands,
handwashing
must last 40–60
secs
and should be
performed by
following all of
the illustrated
steps
Video..!!!!
Alcohol hand rub
 3.SURGICAL HAND
SCRUB

Total – 3- 5 mins
 Equipment

 Warm running water

 Antiseptic Soap Solution

 Hand brush stored in a sterile

container

 Sterile towel
 Steps of the procedure
1.Makesure fingernails are short,clean,healthy.Nail polish

should be removed.

2.Remove jewelries(Rings, Bracelets).

3.Apply personal protective equipment(PPE) includes surgical shoe

covers,Cap,Facemask

and protective eyewear.

Surgical hand scrub (who 2009)

Start timing. Scrub each side of each finger, between the

fingers, and the back and front of the hand for 2 minutes.
Proceed to scrub the arms, keeping the hand higher than
the arm at all times. This helps to avoid recontamination
of the hands by water from the elbows and prevents
bacteria-laden soap and water from contaminating the
hands.
Wash each side of the arm from wrist to the elbow for 1
minute.
WHO Guidelines on Hand Hygiene in Health Care: First Global
Patient Safety Challenge Clean Care Is Safer Care.
Geneva: World Health Organization; 2009.
 Repeat the process on the other hand and arm, keeping hands above
elbows at all times. If the hand touches anything at any time, the scrub
must be lengthened by 1 minute for the area that has been
contaminated.
 Rinse hands and arms by passing them through the water in one
direction only, from fingertips to elbow. Do not move the arm back and
forth through the water.
 Proceed to the operating theatre holding hands above elbows.
 At all times during the scrub procedure, care should be taken not to
splash water onto surgical attire.
 Once in the operating theatre, hands and arms should be dried using a
sterile towel and aseptic technique before donning gown and gloves.
Video..!!!
 “Handy” Tips
 1 Artificial nails, gel nails or extenders are not to be worn
2 Contaminated surfaces or objects should not be touched after performing
hand hygiene.
3 Avoid touching your face, especially your eyes and nose.
4 Fingernails should be kept short
5 Do not “top up” a partially-used hand hygiene product dispenser.
6 If re-usable dispensers are used they must be emptied, washed and dried
prior to being refilled. Hand lotion bottles must not be re-used.
7 Wearing hand and wrist jewelry is not recommended
& …Finally !!!!!!!!!!!!!
 And now let me ask you..

Does any one know

• When is the
global
handwashing day
celebrated
?????????